阴道镜下活检联合LEEP术在宫颈上皮内瘤变诊治的临床价值

目的：探讨阴道镜活检联合LEEP刀诊治宫颈上皮内瘤变的临床价值。方法方便选取并回顾性分析2012年1月—2014年12月该院收治的116例经阴道镜活检诊断为宫颈上皮内瘤变患者，采用LEEP手术，比较阴道镜下活检与LEEP术后病理检查符合情况，并观察治愈率。结果阴道镜活检与LEEP术后病理结果的总诊断符合率为72.4%，其中CINⅠ级符合率为64.3%，CINⅡ级符合率为78.40%，CINⅢ级符合率为82.6%，LEEP术后治愈率为92.2%，复发率2.6%。结论阴道镜在诊断宫颈病变中具有一定局限性，而LEEP术能够有效弥补其缺点，两者联合大大提高了对宫颈上皮内瘤变的诊断率，且LEEP术治疗成功率高，值得在临床上推广使用。

Clinical Evaluation of CIN Treatment by Biopsy Under Colposcopy and Loop Electrosurgical Excision Procedure

Objective To explore the clinical value of cervical intraepithelial neoplasia ( CIN) treatment by punch biopsy under colposcopy and loop electrosurgical excision procedure. Methods Convenient selection and restrospective analysis for 116 patients ,who diagnonsed by biopsy under colposcopy were given diagnosis and treatment by LEEP surgery from Jan-uary 2012 to December 2014.To compare the pathological results of biopsy by colposcopy and LEEP surgery and observe the curative ratio . Results The total consistent rate of CIN grade diagnosed by pathological results of LEEP surgery was 78.4% ,among which CIN Ⅰ grade was 64.3%, CIN Ⅱ grade was 78.4% and CIN Ⅲ grade was 82.6% .The LEEP post-operative cure rate was 92. 2% ,the recurrence rate was 2.6% . Conclusion The biopsy under colposcop has certain limi-tation ,which the LEEP surgery can make up for.But LEEP surgery can combined with LEEP surgery to diagnose and treat the CIN can improve the diagnostic rate ;and the LEEP to diagnose and treat the CIN grade has higher cure rate,which is worth of clinical popularization and application.